NPI 1013064807 · live from the CMS NPI Registry
Farah Cassis-Ghavami, MD
Pediatrics, Pediatric Infectious Diseases in Minneapolis, MN. National Provider Identifier 1013064807, active.
NPI record
| NPI | 1013064807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Infectious Diseases 2080P0208X |
| Practice location | 2525 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 651-220-6444 |
| Enumerated | January 4, 2007 |
| Last updated | May 12, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Infectious Diseases primary | 2080P0208X | 61657 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.